RT Journal A1 Gulati, Divesh A1 Aggarwal, Aditya A1 Singh, Arun P. T1 Complications of Titanium and Stainless Steel Elastic Nail Fixation of Pediatric Femoral Fractures JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2009 FD August 1 VO 91 IS 8 SP 2040 OP 2041 DO UL http://dx.doi.org/ AB We read with interest the article "Complications of Titanium and Stainless Steel Elastic Nail Fixation of Pediatric Femoral Fractures" (2008;90:1305-13), in which Wall et al. report a 23.2% rate of malunion with use of titanium elastic nails in pediatric femoral fractures. This rate is unusually high when compared with the malunion rates of approximately 10% in similar published studies on the use of this device1-7.